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Minnie Hamilton Health Care Center, INC.

Clinic/Center, Dental in Grantsville, WV. Organization (NPI-2).

NPI number1962519967
StatusActive
Last updated in NPPESApr 18, 2012

Details

NPI
1962519967
Entity type
Organization (NPI-2)
Legal business name
Minnie Hamilton Health Care Center, INC.
Organization subpart
No
Enumeration date
Aug 24, 2006
Last updated
Apr 18, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QD0000X Clinic/Center, Dental150WVYes

Other names

  • Dental Office - Medicaid (Doing Business As)

Practice location

186 Hospital Drive
Grantsville, WV 26147-7100

Phone 304-354-9244 · Fax 304-354-9323

Mailing address

186 Hospital Drive
Grantsville, WV 26147-7100

Phone 304-354-9244 · Fax 304-354-9323

Authorized official

Stephen S. Whited
Cfo/Coo
3043549244

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